- Allied Universal (Orange, CA)
- … Unit ( SIU ) Investigator. Special Investigations Unit ( SIU ) Specialists investigate claims with red flags that suggest fraudulent ... years of demonstrated experience conducting complex insurance investigations or adjusting complex insurance claims...Proficient in utilizing laptop computers and cell phones. + Special Investigative Unit ( SIU ) Compliance… more
- Allied Universal (Charleston, WV)
- … training/orientation course + Minimum of two (2) years of demonstrated experience conducting insurance claims investigations or adjusting complex claims ... Claims Investigators validate the facts of loss for Insurance claims through scene Investigations ,...and within their designated region of the country + Special Investigative Unit ( SIU ) Compliance… more
- USAA (San Antonio, TX)
- …of 10 consecutive business days each calendar year. As a dedicated with **Director, Special Investigations Unit ( SIU ),** you will be responsible ... and fraud investigation programs and management of the Life Special Investigation Unit ( SIU ) staff....8 years relevant business experience to include 3 years Claims and/or Insurance Fraud experience. + 3… more
- The Robison Group (Tampa, FL)
- …searches, and other investigative tasks. This is a remote opportunity for part-time employment in our Special Investigations Unit ( SIU ). As an SIU ... are interested in utilizing their investigative skills to conduct a variety of investigations on insurance related matters; such as auto and property theft,… more
- CVS Health (Wellesley, MA)
- …solutions to make health care more personal, convenient and affordable. **Position Summary** The Special Investigations Unit is seeking a Sr. Manager to lead ... our new ASO investigations team. The Healthcare Fraud Senior Manager is responsible...investigation, or auditing + In-depth knowledge of healthcare systems, claims processing, and regulatory requirements related to healthcare fraud.… more
- ICW Group (Sacramento, CA)
- …opportunities to contribute, develop, and belong. **PURPOSE OF THE JOB** The purpose of the Special Investigations Unit ( SIU ) Coordinator is to provide ... The SIU Coordinator will regularly communicate with Department of Insurance (DOI) personnel, District Attorney Offices, Private Investigations (PI) partners,… more
- USAA (Colorado Springs, CO)
- …P&C experience to include Auto, Property and Underwriting + Current or prior SIU investigations experience working in diverse teams across multiple functions ... Come be a part of what makes us so special ! **The Opportunity** As a dedicated SIU ...potential fraudulent claims by investigating questionable, suspect claims activity in compliance with state insurance … more
- USAA (Atlanta, GA)
- …+ Leads high exposure, high profile and critical work assignments, and special investigations involving sophisticated niche fraud referrals, (examples: organized ... Come be a part of what makes us so special ! **The Opportunity** As a dedicated SIU ...help protect USAA and our members from potential fraudulent claims by investigating complex fraud investigations with… more
- Travelers Insurance Company (Quincy, MA)
- …and 3rd party auto physical damage claims , including both personal and business insurance claims . The claim types will be basic to moderate physical damage ... as well as fire, theft, flood, lightning, diminished value claims and any claims that involve injuries....resolution and pursuit of alternative recovery sources (eg Subrogation, SIU , etc.). + Negotiates the claim with the customer… more
- Travelers Insurance Company (Charlotte, NC)
- …3rd party auto physical damage claims , including both personal and business insurance claims . The claim types will be predominately basic and some moderate ... and some comprehensive; typically excludes fire, theft, flood, lightning, diminished value claims and any claims that involve injuries. The actual resolution… more
- Humana (Indianapolis, IN)
- …Program Integrity (OMPP PI) and other agencies such as the Medicaid Fraud Control Unit (MFCU) and coordinate all aspects of FWA activities in Ohio to increase ... to encourage sensible and culturally-competent business standards + Oversee internal investigations of FWA compliance issues + Work with the Contract Compliance… more
- Travelers Insurance Company (Franklin, TN)
- …obtain assistance in conducting investigations . + Identifies cases for potential insurance fraud prosecution and submits questionable claims to the National ... into actionable investigative strategies including the identification of complex case investigations . + Conducts insurance investigations including… more
- NJM Insurance (Trenton, NJ)
- NJM's SIU department in West Trenton, NJ is seeking a Summer Intern for 2025. Job Responsibilities: + Triaging and analyzing scorecards and outputs from predictive ... models for General Claims , Personal Lines, Personal Injury Protection (PIP) ...consumed by non-technical staff. + Share analytical findings with SIU Supervisory staff. + Attend virtual industry meetings to… more
- Molina Healthcare (IA)
- …(surgical, hospital, clinic settings) or 5+ years of experience working in a FWA / SIU or Fraud investigations role for New Jersey/New York location + Thorough ... **JOB DESCRIPTION** **Job Summary** The SIU Coding Investigator is responsible for investigating and...State & Federal laws and regulations pertaining to health insurance , investigations & legal processes (Commercial … more
- Elevance Health (Woburn, MA)
- …questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern. ... **Clinical Fraud Investigator II - SIU Fraud & Abuse** **Location:** This position will...investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines… more
- USAA (San Antonio, TX)
- …+ Identifies coverage concerns, reviews prior loss history, determines and creates Special Investigation Unit ( SIU ) referrals, when appropriate. Determines ... investigates, evaluates, negotiates, and settles low to moderate complexity property insurance claims . You will confirm/analyze coverage, recognize liability… more
- USAA (Phoenix, AZ)
- …+ Identifies coverage concerns, reviews prior loss history, determines and creates Special Investigation Unit ( SIU ) referrals, when appropriate. Determines ... Come be a part of what makes us so special ! **The Opportunity** As a dedicated Senior Property Adjuster,...framework to investigate, evaluate, negotiate, and settle complex property insurance claims presented by or against our… more
- USAA (Providence, RI)
- …+ Identifies coverage concerns, reviews prior loss history, determines and creates Special Investigation Unit ( SIU ) referrals, when appropriate. Determines ... Come be a part of what makes us so special ! **The Opportunity** As a Insurance Property...framework to investigate, evaluate, negotiate, and settle complex property insurance claims presented by or against our… more
- USAA (Billings, MT)
- …amount. + Identifies coverage concerns, reviews prior loss history, determines and creates Special Investigation Unit ( SIU ) referrals, when appropriate. + ... Come be a part of what makes us so special ! **The Opportunity** As a dedicated Property General Adjuster,...investigate, evaluate, negotiate and settle the highest complexity property insurance claims presented by or against our… more
- USAA (Baltimore, MD)
- …+ Identifies coverage concerns, reviews prior loss history, determines and creates Special Investigation Unit ( SIU ) referrals, when appropriate. + ... Come be a part of what makes us so special ! **The Opportunity** We are seeking dedicated Sr. Property...and settle moderate to large loss complex property content insurance claims presented by or against our… more